As a reminder, Document Exchange was introduced to providers on NaviNet on August 19, 2016. This new featureallows us to share more information electronically with our provider network.

Your designated NaviNet Security Officer controls which end users, including himself or herself, associated with yourNaviNet office will be given access to the five unique Practice Document Categories. It is important for your NaviNetSecurity Officer to manage permissions appropriately for each document category to ensure reports are accessed ina manner that is compliant with role-based access requirements of the Health Insurance Portability and AccountabilityAct (HIPAA).

Note: Third-party vendors that have access to NaviNet will not have the ability to access Document Exchange.

Attestation process

Once your permissions are set, you will need toattest your supported Billing Entities in order to viewreports though Document Exchange. Select theBilling Entities tab to view a list of Billing Entitiesassociated with your NaviNet office. When you aredone reviewing and selecting the Billing Entities yousupport, read the attestation statement for importantinformation, and then click Save Changes.

Note: When you click Save Changes, you areattesting that you are authorized to access theProtected Health Information for the patients of theentities that you have selected.

 

Accessing reports

Once your transaction permissions have beenestablished and your attestation process iscomplete, you can select Practice Documents fromthe Worklflows menu. This is where you will find alist of documents that are available to you.

 

Initial report

The High Risk Hospitalization Predictor report from August 2016 is availablefor targeted primary care physician practices under Document Exchange in thePatient Roster Report category. Based on a predictive model, this report identifiesmembers you have treated who are at high risk of acute hospitalization in the nextsix months and who have one or more of the following chronic conditions:

• chronic obstructive pulmonary disease (COPD)
• congestive heart failure (CHF)
• coronary artery disease (CAD)
• diabetes

 

If you have questions or suggestions that relate to the High Risk Hospitalization Predictor report, please contact yournetwork medical director.

 

For detailed instructions on how to use Document Exchange, review the user guide, which is available in the NaviNet Resources section of our Provider News Center. If you have any questionsabout Document Exchange, call the eBusiness Hotline at 609-662-2565 for AmeriHealth New Jersey or at215-640-7410 for AmeriHealth Pennsylvania.

 

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